Introduction To Clinical Medicine (propedevtic Of The Medicine) With Patient Care

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Poltava: Ukrainian Academy of Medicine and Dentistry, 2007. – 214 p. Beginning students of medicine and dentistry must acquire a set of skills that prepare them to become clinicians. This includes establishing rapport and a therapeutic relationship with the patient, basic interviewing, the specific conduct and content of medical data collection (the history and the physical examination), formulation of a problem list and diagnostic hypotheses, documentation and record-keeping, and communication with others involved in the patient's care. An introduction to these skills during the first years of medical school focuses on the basics of data collection and information synthesis rather than the specifics of disease, diagnosis, and treatment-that is, the emphasis is on process rather than specialized content. There are many fine texts that provide detailed discussions of the medical history and physical examination. This instruction is not intended to replace these comprehensive approaches but rather to summarize methods and outline the basic principles essential to data collection. The authors of this book have all been involved in teaching the Introduction to Clinical Medicine course at the Ukrainien Academy of Medicine and Dentistry. Their experience has informed the problem based approach used in this book. This book is structured to allow students to review a set of skills that will enable them to approach undifferentiated medical problems systematically and with confidence in preparation for clinical clerkships. Contents: Contributors Preface Physician-Patients Relationship and Professional Deontology. Basic Components of the Medical History. The Physical Examinations The Respiratory Tract Examination The Cardiovascular System Examination The Gastrointestinal System Examination The Kidney Examination Approach to Patients with Hematological Diseases The Endocrine System Examination Approach to Patients with Immune System, Connective Tissue and Joints Diseases Comprehensive exam Literature

E-Book Content

1 UKRAINIAN MINISTRY OF HEALTH CARE UKRAINIAN ACADEMY OF MEDICINE AND DENTISTRY INTRODUCTION TO CLINICAL MEDICINE (PROPEDEVTIC OF THE MEDICINE) WITH PATIENT CARE EDUCATIONAL MATERIALS FOR INDEPENDENT STUDY WITH TESTS AND EXPLANATIONS INCLUDED FOR SECOND YEAR DENTAL FACULTY STUDENTS POLTAVA, 2007 2 Contents Contributors Preface Lesson1 Physician-Patients Relationship and Professional Deontology. Basic Components of the Medical History. The Physical Examinations Lesson 2 The Respiratory Tract Examination Lesson 3 The Cardiovascular System Examination Lesson 4 The Gastrointestinal System Examination Lesson 5 The Kidney Examination Lesson 6 Approach to Patients with Hematological Diseases Lesson 7 The Endocrine System Examination Lesson 8 Approach to Patients with Immune System, Connective Tissue and Joints Diseases Comprehensive exam Literature 3 Contributors: Igor P. Kajdashev M.D., Ph. D, Professor Head of the Department of Internal Medicine, UKRAINIAN ACADEMY OF MEDICINE AND DENTISTRY Michael S. Rasin M.D., Ph. D., Professor Professor of the Department of Internal Medicine UKRAINIAN ACADEMY OF MEDICINE AND DENTISTRY Preface Beginning students of medicine and dentistry must acquire a set of skills that prepare them to become clinicians. This includes establishing rapport and a therapeutic relationship with the patient, basic interviewing, the specific conduct and content of medical data collection (the history and the physical examination), formulation of a problem list and diagnostic hypotheses, documentation and record-keeping, and communication with others involved in the patient's care. An introduction to these skills during the first years of medical school focuses on
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